| Jantira Tara Thomas, DO | |
|
29000 Center Ridge Rd, Westlake, OH 44145-5293 | |
| (440) 827-5784 | |
| (440) 827-5412 |
| Full Name | Jantira Tara Thomas |
|---|---|
| Gender | Female |
| Speciality | Geriatric Medicine |
| Experience | 13 Years |
| Location | 29000 Center Ridge Rd, Westlake, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952660359 | NPI | - | NPPES |
| 0127975 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34011590 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Memorial Hospital Inc | Lexington, NC | Hospital |
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Jantira Tara Thomas, DO 34476 Saint Maron Blvd, Avon, OH 44011-3219 Ph: (814) 923-1324 | Jantira Tara Thomas, DO 29000 Center Ridge Rd, Westlake, OH 44145-5293 Ph: (440) 827-5784 |
Anita Cheriyan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25200 Center Ridge Rd, #3200, Westlake, OH 44145 Phone: 440-895-5040 Fax: 440-895-5073 | |
Peter H Greenwalt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Columbia Rd, Suite 200, Westlake, OH 44145 Phone: 440-808-1212 Fax: 440-808-0321 | |
Henry Blunk, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5784 | |
Deema Chakhachiro, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-847-9956 | |
Michael J Dobrovich, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29325 Health Campus Dr, Ste 2, Westlake, OH 44145 Phone: 440-835-6142 Fax: 440-899-4383 | |
Robert F Straub, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd Ste 200, Westlake, OH 44145 Phone: 440-808-1212 Fax: 440-808-2060 | |
Mbanefo Ojukwu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 |